IVAN GONZALEZ

FORT BRAGG, NC
NPI1184013252
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: AZ  PSY-004598)
Enumeration Date2015-01-13
Last Update Date2024-10-11
Business Address
IVAN GONZALEZ
2817 REILLY ROAD WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Phone number: 910-907-8922
Mailing Address
IVAN GONZALEZ
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 706-545-4237